Jared Emerson Mallalieu, DO - Medicare Surgery in Severna Park, MD

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Jared Emerson Mallalieu, DO is a medicare enrolled "Surgery" physician in Severna Park, Maryland. His current practice location is 484 Ritchie Hwy Ste A, Severna Park, Maryland. You can reach out to his office (for appointments etc.) via phone at (410) 544-4600.

Jared Emerson Mallalieu is licensed to practice in Maryland (license number H68311) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1033393996.

Contact Information

Jared Emerson Mallalieu, DO
484 Ritchie Hwy Ste A,
Severna Park, MD 21146-2961
(410) 544-4600
(410) 544-0997

Map and Direction




Physician's Profile

Full NameJared Emerson Mallalieu
GenderMale
SpecialitySurgery
Location484 Ritchie Hwy Ste A, Severna Park, Maryland
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1033393996
  • Provider Enumeration Date: 12/27/2007
  • Last Update Date: 06/25/2015
  Medicare PECOS Information:
  • PECOS PAC ID: 8123174026
  • Enrollment ID: I20090917000594

Medical Identifiers

Medical identifiers for Jared Emerson Mallalieu such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1033393996NPI-NPPES
95050303OtherMDCAREFIRST
417363500OtherMDMEDICAL ASSISTANCE
1622382ZF69OtherMDMEDICARE
242301OtherMDJHHC
U993 0001OtherDCCAREFIRST

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208600000XSurgery H68311 (Maryland)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jared Emerson Mallalieu allows following entities to bill medicare on his behalf.
Entity NameRoss Van Antwerp Do Mph Pa Laser Center Of Maryland
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356537443
PECOS PAC ID: 6901954346
Enrollment ID: O20090423000339

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jared Emerson Mallalieu is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jared Emerson Mallalieu, DO
10845 Philadelphia Rd,
White Marsh, MD 21162-1717

Ph: (410) 335-0008		Jared Emerson Mallalieu, DO
484 Ritchie Hwy Ste A,
Severna Park, MD 21146-2961

Ph: (410) 544-4600

Reviews and Comments


Surgery Doctors in Severna Park, MD


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.